Rubella susceptibility in pregnant women and results of a postpartum immunization strategy in Catalonia, Spain

Vaccine
Alba VilajeliuJosé M Bayas

Abstract

Elimination of congenital rubella syndrome depends not only on effective childhood immunization but also on the identification and immunization of rubella susceptible women. We assessed rubella susceptibility among pregnant women and evaluated the adherence and response to postpartum immunization with measles, mumps and rubella (MMR) vaccine. Cross-sectional study of women who gave birth at the Hospital Clinic de Barcelona (Spain) between January 2008 and December 2013. Antenatal serological screening for rubella was performed in all women during pregnancy. In rubella-susceptible women, two doses of MMR vaccine were recommended following birth. We evaluated rubella serological response to MMR vaccination in mothers who complied with the recommendations. A total of 22,681 pregnant women were included in the study. The mean age was 32.3 years (SD 5.6), and 73.6% were primipara. The proportion of immigrants ranged from 43.4% in 2010 to 38.5% in 2012. The proportion of women susceptible to rubella was 5.9% (1328). Susceptibility to rubella declined with increasing maternal age. Immigrant pregnant women were more susceptible to rubella (7.6%) than women born in Spain (4.6%). Multivariate analyses showed that younger age (≤19 years) ...Continue Reading

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Citations

Oct 4, 2017·Viral Immunology·Yanna K M NóbregaMariana M Hecht
Mar 21, 2020·Human Vaccines & Immunotherapeutics·Zemenu Yohannes KassaSolomon Asnake
Jun 23, 2020·American Journal of Reproductive Immunology : AJRI·Wan-Ju KungChing-Chiang Lin
May 7, 2020·The Pan African Medical Journal·Hanane ZahirSaid Zouhair
Dec 15, 2020·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·E BouthryC Vauloup-Fellous
Aug 2, 2019·Preventive Medicine Reports·Matteo BoattiniRossana Cavallo
Feb 4, 2019·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·O PiconeC Vauloup-Fellous

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